| Entity Name: | DAVENPORT ANESTHESIA GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 23 Mar 2016 (9 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L16000059279 |
| FEI/EIN Number | 81-1939935 |
| Address: | 107 PARK PLACE BLVD, DAVENPORT, FL 33837 |
| Mail Address: | 107 PARK PLACE BLVD, DAVENPORT, FL 33837 |
| ZIP code: | 33837 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457709503 | 2016-05-31 | 2021-07-09 | 107 PARK PLACE BLVD, DAVENPORT, FL, 338376858, US | 107 PARK PLACE BLVD, DAVENPORT, FL, 338376858, US | |||||||||||||||
|
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| Phone | +1 863-419-2812 |
| Fax | 8634192821 |
Authorized person
| Name | NANCY K KASTNER |
| Role | ADMINISTRATOR |
| Phone | 4072560933 |
Taxonomy
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KASTNER, NANCY | Agent | 206 CANOVA DRIVE, NEW SMYRNA BEACH, FL 32169 |
| Name | Role | Address |
|---|---|---|
| PORTER, TOM | Manager | 107 PARK PLACE BLVD, DAVENPORT, FL 33837 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-03-26 |
| ANNUAL REPORT | 2020-04-03 |
| ANNUAL REPORT | 2019-03-27 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-04-05 |
| Florida Limited Liability | 2016-03-23 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
